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Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. | PSNet

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October 05, 2022 - Study Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Citation Text: Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39…

The impact of eHealth on the quality and safety of health care: a systematic overview. | PSNet

psnet.ahrq.gov/issue/impact-ehealth-quality-and-safety-health-care-systematic-overview

December 14, 2016 - Review The impact of eHealth on the quality and safety of health care: a systematic overview. Citation Text: Black AD, Car J, Pagliari C, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011;8(1):e1000387. doi:10.1371/journal.pmed…

Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. | PSNet

psnet.ahrq.gov/issue/dropping-baton-during-handoff-emergency-department-primary-care-pediatric-asthma-continuity

March 14, 2022 - Study Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Citation Text: Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J …

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii. | PSNet

psnet.ahrq.gov/issue/maintaining-and-sustaining-cusp-stop-bsi-model-hawaii

March 21, 2012 - Study Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii. Citation Text: Lin D, Weeks K, Holzmueller CG, et al. Maintaining and Sustaining the On the CUSP: Stop BSI Model in Hawaii. Jt Comm J Qual Patient Saf. 2016;39(2):51-60, AP3. doi:10.1016/s1553-7250(13)39008-4. …

An mHealth design to promote medication safety in children with medical complexity. | PSNet

psnet.ahrq.gov/issue/mhealth-design-promote-medication-safety-children-medical-complexity

July 14, 2010 - Study An mHealth design to promote medication safety in children with medical complexity. Citation Text: Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000…

Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized

December 17, 2014 - Study Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. Citation Text: Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…

Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/are-adverse-events-related-completeness-clinical-records-results-retrospective-records-review

July 01, 2009 - Study Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. Citation Text: Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records? Results from a re…

Developing and evaluating an automated all-cause harm trigger system. | PSNet

psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system

July 31, 2013 - Study Developing and evaluating an automated all-cause harm trigger system. Citation Text: Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. Copy Cita…

Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. | PSNet

psnet.ahrq.gov/issue/identifying-hospitalized-patients-risk-harm-comparison-nurse-perceptions-vs-electronic-risk

November 03, 2015 - Study Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. Citation Text: Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perc…

Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners. | PSNet

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September 20, 2023 - Study Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners. Citation Text: van Sassen CGM, van den Berg PJ, Mamede S, et al. Identifying and prioritizing educational conten…

Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet

psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill

July 29, 2020 - Commentary Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. Citation Text: Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifyin…

Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. | PSNet

psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision-support-hospitalized

April 03, 2024 - Study Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. Citation Text: Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerize…

Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). | PSNet

psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes

April 29, 2020 - Study Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). Citation Text: Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to improve quality and…

How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. | PSNet

psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device-related-incidents

May 06, 2015 - Study How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. Citation Text: Polisena J, Gagliardi AR, Clifford T. How can we improve the recognition, reporting and resolution …

Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. | PSNet

psnet.ahrq.gov/issue/safety-fragile-conflict-affected-and-vulnerable-settings-evidence-scanning-approach

January 12, 2022 - Review Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. Citation Text: O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach…

Learning from patient safety incidents: The Green Cross method. | PSNet

psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method

June 14, 2023 - Study Learning from patient safety incidents: The Green Cross method. Citation Text: Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. Copy Citation Format: DOI Go…

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. | PSNet

psnet.ahrq.gov/issue/quality-improvements-decreasing-medication-administration-errors-made-nursing-staff-academic

March 24, 2019 - Study Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Citation Text: Wang H-F, Jin J-F,…

Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. | PSNet

psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk

March 01, 2023 - Study Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Citation Text: Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (…

Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet

psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently

July 01, 2016 - Study Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? Citation Text: Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…

Understanding and responding when things go wrong: key principles for primary care educators. | PSNet

psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators

January 23, 2017 - Study Understanding and responding when things go wrong: key principles for primary care educators. Citation Text: McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080…

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